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http://dx.doi.org/10.1016/j.jvir.2022.09.008 | DOI Listing |
Cureus
April 2025
College of Medicine, King Saud University Medical City, Riyadh, SAU.
An imperforate hymen is a rare congenital anomaly of the female genital tract. It leads to hematocolpos and hematometra due to obstructed menstrual outflow. It can present with primary amenorrhea, cyclic abdominal pain, and urinary retention.
View Article and Find Full Text PDFJ Obstet Gynaecol India
April 2025
Apollo Hospitals Chennai, Chennai, India.
Herlyn Werner Wunderlich syndrome is a rare congenital disorder affecting 0.16 percent of the female population, characterized by mal-development of Mullerian and mesonephric ducts. It is also known as "Obstructed Hemivagina and Ipsilateral Renal Agenesis" abbreviated as OHVIRA.
View Article and Find Full Text PDFEur J Obstet Gynecol Reprod Biol
June 2025
Department of Urogynaecology, Istanbul Medipol University, School of Medicine, Istanbul, Turkiye. Electronic address:
Vaginal septum is a rare and distinctive entity within the spectrum of Mullerian anomalies, presenting a range of symptoms including amenorrhea, abdominal pain, hematometrocolpos, and difficulty with intercourse. Early diagnosis is crucial to prevent long-term morbidity and potential infertility. Using diagnostic tools such as transvaginal ultrasonography and MRI, clinicians can identify associated reproductive tract and renal abnormalities.
View Article and Find Full Text PDFJ Minim Invasive Gynecol
August 2025
Division of Pediatric and Adolescent Gynecology, Department of Pediatric Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio (Drs. Wassmer, Childress, and Breech); Department of Obstetrics and Gynecology, University of Cincinnati College of Medicine, Cincinnati, Ohio (Dr. Breech
Objective: To demonstrate surgical excision of a high obstructing vaginal septum using a pneumovaginal approach with the GelPOINT Path Transanal Access Platform.
Setting: OHVIRA Syndrome is defined by a Müllerian anomaly with a unilateral obstructed hemivagina and associated renal anomaly [1,2]. Resection of a high vaginal septum can be technically challenging from the transvaginal approach, limited by instrument length and introital size in recently menarchal patients, which can result in poor outcomes such as incomplete septum resection and stenosis.
Pediatr Int
May 2025
Department of Pediatric Surgery, Osaka Red Cross Hospital, Osaka, Japan.
Background: Imperforate hymen is uncommon but it is one of the most common obstructive lesions of the female genital tract. Hydro/hematometrocolpos, derived from retained uterine and vaginal secretions and menstrual blood, causes various nonspecific symptoms. This study aimed to examine the clinical features, diagnostic approach, and outcomes of imperforate hymen at a single institution in Japan.
View Article and Find Full Text PDF